Ultrabru, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

378417 Issued in MN

Legal business name

ULTRABRU, INC.

Doing business as

Destination Health

Practice address

11524 Mississippi Dr N
Champlin, MN 55316-2507

Phone

(612) 990-6639

NPI assigned

Feb 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kara Honebrink

Title

President

Phone

(612) 990-6639

Specialties & licenses 1

Addresses

Other names 1

• Destination Health Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1104241439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11524 MISSISSIPPI DR N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162507",
            "telephone_number": "612-990-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11524 MISSISSIPPI DR N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162507",
            "telephone_number": "612-990-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRABRU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "HONEBRINK",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-990-6639",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "378417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destination Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Champlin, MN
• Providers in Champlin, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.